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1. Form Header: Title of the document, date, and unique reference number
2. Recipient Details: Full name, ID/registration number, contact details, and address of the person/entity receiving the cash
3. Payer Details: Full name, ID/registration number, contact details, and address of the person/entity paying the cash
4. Transaction Details: Amount in figures and words, currency, purpose of payment, and transaction date
5. Source of Funds Declaration: Declaration of the origin of the funds as required by FICA
6. Acknowledgement Statement: Formal statement confirming receipt of the specified amount
7. Signatures: Space for signatures of both parties, witnesses, and date of signing
1. Witness Details: Section for witness information and signatures, recommended for large amounts
2. Payment Method Details: Additional details if the cash payment involves multiple denominations or foreign currency
3. Company Representative Authority: Required when either party is signing on behalf of a company
4. FICA Additional Declarations: Extra declarations required for amounts exceeding R25,000 or other FICA thresholds
5. Terms and Conditions: Optional section for any specific conditions or terms attached to the payment
1. Schedule A - Denomination Schedule: Detailed breakdown of cash denominations received
2. Schedule B - Supporting Documents: List of attached KYC documents, proof of identity, or authority documents
3. Schedule C - Transaction History: If part of a series of payments, schedule showing previous related transactions
Business Day
Cash
Denominations
FICA
Financial Year
Foreign Currency
Parties
Payer
Payment Date
Purpose of Payment
Recipient
Reference Number
Source of Funds
Transaction
Witness
ZAR
Authorized Representative
Business Hours
Compliance Requirements
Declaration
Effective Date
Identity Document
Proof of Address
Verification Documents
Transaction Details
Source of Funds Declaration
FICA Compliance
Anti-Money Laundering
Party Identification
Representation and Authority
Verification and Authentication
Record Keeping
Confidentiality
Dispute Resolution
Governing Law
Declaration of Truth
Witness Requirements
Signature Requirements
Financial Services
Retail
Real Estate
Professional Services
Construction
Manufacturing
Automotive
Agriculture
Mining
Education
Healthcare
Hospitality
Legal Services
Non-Profit Organizations
Small Business
Finance
Accounting
Treasury
Compliance
Administration
Risk Management
Internal Audit
Legal
Operations
Front Office
Back Office
Financial Manager
Accountant
Treasury Manager
Compliance Officer
Finance Director
Chief Financial Officer
Bookkeeper
Financial Controller
Cash Manager
Administrative Officer
Company Secretary
Accounts Receivable Clerk
Branch Manager
Financial Administrator
Risk Manager
Audit Manager
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